FOREST WAYNE SHIRA

ROSEBURG, OR
NPI1689001000
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: OR  201392914NP-PP)
Enumeration Date2013-09-30
Last Update Date2014-04-09
Business Address
FOREST WAYNE SHIRA FNP-C
1863 NE FREEMONT AVE
ROSEBURG, OR 97470-3535
Phone number: 541-733-2230
Mailing Address
FOREST WAYNE SHIRA FNP-C
1863 NE FREEMONT AVE
ROSEBURG, OR 97470-3535
Phone number: 541-733-2230
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